Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,311.31 / $8,709.64	Facility		$1,318.26	$3,311.31	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,818.38	Professional		$1,202.26	$1,412.54	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $3,467.37	Professional		$1,148.15	$1,584.89	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $3,162.28	Professional		$1,122.02	$1,659.59	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,090.30	Professional		$1,548.82	$1,548.82	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,454.71	Facility		$1,230.27	$1,548.82	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $2,884.03	Professional		$1,905.46	$2,454.71	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,467.37 / $6,606.93	Facility		$1,230.27	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,818.38	Professional		$1,047.13	$1,348.96	$2,818.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $45,708.82	Facility		$17,782.79	$17,782.79	$45,708.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $12,302.69	Professional		$10,964.78	$10,964.78	$12,302.69